SCRIP

Family Order Form

St. Peters Catholic School
Name
Check #
Order Date
Local Scrip Cards
*On
Hand
*
*
*
*
*
*
*
*
*
*

Product
A New Leaf - $20
Barnes & Noble - $10
Bath N Body - $10
Buffalo Wild Wings - $10
Canby Liquor - $25
Canby Liquor - $50
Canby Print Shop - $25
Canby Theatre - $10
Canby Theatre - $25
Dairy Queen - $10
Dairy Queen - $25
Dougs Service & Marine $50
Dougs Service & Marine $100
FCA - $25
FCA - $50

*
*
*
*
*
*
*
*
*
*
*

St. Peters School

enrollment code:
B7FLC8582L474
Rebat
e%
25%
9%
13%
8%
5%
5%
20%
10%
10%
10%
10%
10%

2%
2%

2%
10%
5%
5%
5%
2%
2%
2%
10%
10%
10%
5%
10%

Mobergs Meat Center - $50

10%

Runnings Farm & Fleet - $10

5%

*
*

Runnings Farm & Fleet - $25

Runnings Farm & Fleet $100
Rustys Corner Caf - $10
Rustys Corner Caf - $25
Rustys Corner Caf - $50
Shopko - $25
Starbucks - $10
Sturdevants - $25

5%
5%

*
*

Sturdevants - $50
Sturdevants - $100
Subway - $10
Target - $25

Total
**excludes Teleflora, funeral &
wedding flowers

10%

FCA - $100
Hair Gallery - $10
Hy-Vee - $25
Hy-Vee - $100
ITunes - $15
Jims Market - $25
Jims Market - $100
Jims Market - $200
Jodis Beauty Boutique - $10
Kornerstone Kravings - $10
Kornerstone Kravings - $25
Lemongrass - $25
Moberg Meat Center - $25

*
*
*
*
*

Qty.

5%
5%
5%
3%
7-9%
10%
10%
10%
3%
3%

**to be used for convenience

store
items including gasoline or
diesel
at the pumps & service station
purchases

**cannot be used on
processing
**cannot be used on
processing
**cannot be used to pay on
account

**cannot be used to pay on

account

*
Uptown Glamour - $15
10%
*
Uptown Glamour - $30
10%
*
Walmart - $25
2.5%
*
Walmart - $100
2.5%
You can go to www.shopwithscrip.com set up an account and order gift cards for these
businesses and gift cards from over 800 national businesses. You can also set up presto pay
which makes paying very easy. If you have any questions, please feel free to contact Lori or
Kari at St. Peters School at 223-7729.